New York Spine & Sport Rehabilitation Medicine P.C.
New York Spine & Sport Rehabilitation Medicine P.C. was paid $6.74M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 17% of everything it billed.
33Billing provider infoNEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.
BRONX, NY 10461
BRONX, NY 10461
33aNPI1942423579assigned 04/11/2007
33bProvider typeSpecialist
28Total paid$6.74M
24GClaims187,488
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#24 of 1,221
Median peer was paid$45K
This provider vs. median149×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 38,756 | $1.87M | |
| 2019 | 43,969 | $1.70M | |
| 2020 | 33,998 | $1.31M | |
| 2021 | 29,392 | $752K | |
| 2022 | 15,983 | $485K | |
| 2023 | 15,276 | $385K | |
| 2024incomplete | 10,114 | $240K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 17% | 33,430 | 13,382 | $1.11M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 11,269 | 11,142 | $946K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 14,907 | 14,523 | $865K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 8.1% | 20,748 | 10,450 | $546K |
| 64635 | 4.0% | 746 | 730 | $269K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.3% | 1,843 | 1,836 | $223K |
| 64484 | 3.3% | 822 | 814 | $223K | |
| 64493 | 3.2% | 1,168 | 1,126 | $217K | |
| 64636 | 3.1% | 742 | 730 | $212K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 2.9% | 56 | 56 | $196K |
| 27096 | 2.5% | 1,290 | 1,236 | $166K | |
| 64483 | 2.4% | 817 | 811 | $162K |
65 more codes
| 97162 | 2.4% | 2,666 | $159K | |
| L0631 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 1.9% | 315 | $127K |
| 64494 | 1.6% | 1,149 | $108K | |
| 64490 | 1.6% | 429 | $108K | |
| 64495 | 1.6% | 1,097 | $105K | |
| 99358 | Prolong nursin fac eval 15m | 1.4% | 896 | $94K |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 1.4% | 9,219 | $92K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.3% | 4,894 | $89K |
| 95886 | <1% | 413 | $60K | |
| 97010 | <1% | 33,881 | $57K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 2,738 | $53K |
| 64491 | <1% | 425 | $53K | |
| 64492 | <1% | 406 | $51K | |
| 20552 | <1% | 1,340 | $49K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 5,176 | $44K |
| 97014 | <1% | 5,125 | $43K | |
| 97161 | <1% | 694 | $39K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,699 | $36K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 5,246 | $30K |
| 99491 | Ccm add 20min | <1% | 582 | $29K |
| 95911 | <1% | 136 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 218 | $19K |
| 76942 | <1% | 173 | $17K | |
| 99152 | <1% | 443 | $17K | |
| 95938 | <1% | 52 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 269 | $11K |
| 20610 | <1% | 168 | $11K | |
| 76881 | <1% | 116 | $9K | |
| 77002 | <1% | 169 | $9K | |
| 20606 | <1% | 91 | $8K | |
| 95923 | <1% | 65 | $6K | |
| 64633 | <1% | 16 | $6K | |
| 64634 | <1% | 16 | $5K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 412 | $3K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 5,835 | $3K |
| 95921 | <1% | 53 | $3K | |
| 93922 | <1% | 33 | $3K | |
| 99354 | <1% | 20 | $2K | |
| 99072 | <1% | 1,888 | $2K | |
| 01936 | <1% | 30 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $757.92 |
| 99000 | <1% | 734 | $698.34 | |
| 99490 | Ccm add 20min | <1% | 41 | $570.11 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 49 | $294.60 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 27 | $233.20 |
| 96103 | <1% | 35 | $216.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $170.86 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 131 | $99.32 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 81 | $85.82 |
| 97139 | <1% | 293 | $0.84 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 103 | $0.45 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 642 | $0.16 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 5,477 | $0.11 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,192 | $0.00 |
| 3288F | 0% | 353 | $0.00 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 451 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 122 | $0.00 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 153 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 27 | $0.00 |
| A4550 | Surgical trays | 0% | 13 | $0.00 |
| 1036F | 0% | 821 | $0.00 | |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 12 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 231 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 17 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGOPAL, SIREEN (OWER)
| Provider | Location | Paid |
|---|---|---|
| New York Advanced Surgical Intervention Care, PLLC | Bronx, NY | $453K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.